A Case of Vasculitis Delayed Due to COVID-19 Differential Diagnosis

The COVID-19 disease – which emerged in Wuhan, China in December 2019 – has had a significant effect on the whole world having developed into a pandemic, with a wide range of symptoms ranging from asymptomatic carrier to mortality. The focus on COVID-19 diagnosis for these reasons has led to difficulties in the diagnosis and treatment of other diseases. Vasculitis is a very difficult disease group due to its multi-organ involvement and different clinical courses. Due to its radiological properties, there the differential diagnosis of COVID-19 can be difficult. A 65-year-old female patient was admitted with a complaint of dry cough, shortness of breath when walking and chest pain. The patient was examined many times for COVID-19, both in our hospital and in other clinics, and for this reason, the diagnosis of vasculitis was delayed. A diagnosis of vasculitis should be kept in mind in patients with prolonged and multi-systemic symptoms when examined with a pre-diagnosis of COVID-19.

Covýd-19 Ayýrýcý Tanýsý Nedeniyle Geciken Bir Vaskülit Olgusu

Çin’in Wuhan kentinde 2019 Aralýk ayýnda ortaya çýkan COVID-19 hastalýðý, salgýn oluþturmasý ve asemptomatik taþýyýcýlýktan mortaliteye kadar oldukça geniþ yelpazede semptomlar göstermesi nedeni ile tüm dünyada önemli bir yer edinmiþtir. Bu nedenlerden dolayý COVID-19 tanýsýna yoðunlaþýlmasý, diðer hastalýklarýn taný ve tedavisinde bazý zorluklar ve gecikmelere neden olmuþtur. Vaskülit, çoklu organ tutulumu ve farklý klinik seyirleri ile taný ve tedavisi oldukça zor bir hastalýk grubunu oluþturmaktadýr. Radyolojik özellikleri nedeniyle de COVID-19 ayýrýcý tanýsýnda güçlük yaþanmaktadýr. Altmýþ beþ yaþýnda kadýn hasta, kuru öksürük, yürümekle olan nefes darlýðý ve göðüs aðrýsý þikayetleri ile baþvurdu. Hasta dýþ merkezde ve kliniðimizde birçok kez COVID-19 açýsýndan tetkik edildi. Bu nedenle vaskülit tanýsýnda gecikildi. COVID-19 ön tanýsý ile tetkik edilen, uzun süreli ve multisistemik semptomlarý olan hastalarda vaskülit tanýsý da akýlda tutulmalýdýr.